Evidence map›Paper›PMID 28317311›Full record

ArticleAmerican journal of medical genetics. Part A2017

Novel pathogenic variants in FOXP3 in fetuses with echogenic bowel and skin desquamation identified by ultrasound.

Raymond J Louie, Queenie K-G Tan, Jennifer B Gilner, R Curtis Rogers, Noelle Younge, Stephanie B Wechsler, Marie T McDonald, Barbara Gordon, Christopher A Saski, Julie R Jones and 4 more

Open access · greenAbstract readCase Reports
In one paragraph

Article in American journal of medical genetics. Part A, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. A Structure-Guided Delineation of FOXP3 Regulation Mechanism in IPEX.Advances in experimental medicine and biology · 2021
    Article
  8. Intrauterine IPEX.Frontiers in pediatrics · 2020
    Review
  9. Article
  10. The Journal of experimental medicine · 2019
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 1 country.

Raymond J LouieGreenwood Genetic Center, Greenwood, South Carolina.ORCID http://orcid.org/0000-0002-6788-1151
Queenie K-G TanDuke University School of Medicine, Durham, North Carolina.
Jennifer B GilnerDuke University School of Medicine, Durham, North Carolina.
R Curtis RogersGreenwood Genetic Center, Greenwood, South Carolina.
Noelle YoungeDuke University School of Medicine, Durham, North Carolina.
Stephanie B WechslerDuke University School of Medicine, Durham, North Carolina.
Marie T McDonaldDuke University School of Medicine, Durham, North Carolina.
Barbara GordonGreenwood Genetic Center, Greenwood, South Carolina.
Christopher A SaskiClemson University, Clemson, South Carolina.
Julie R JonesGreenwood Genetic Center, Greenwood, South Carolina.
Shelley J ChapmanUniversity Medical Group, Anderson, South Carolina.
Roger E StevensonGreenwood Genetic Center, Greenwood, South Carolina.
John W SleasmanDuke University School of Medicine, Durham, North Carolina.
Michael J FriezGreenwood Genetic Center, Greenwood, South Carolina.
Duke University · USGreenwood Genetic Center · USAnderson University - South Carolina · USClemson University · US

Funding

Center for Molecular &Cellular Studies of Ped DiseaseK12HD043494 · NICHD · DUKE UNIVERSITY · PI REED, ANN M. · 2003 to 2017
$5.2M
NICHD NIH HHS K12 HD043494
6 · The paper itself

Abstract

Immunodysregulation, Polyendocrinopathy, Enteropathy, X-linked (IPEX) syndrome is a rare, X-linked recessive disease that affects regulatory T cells (Tregs) resulting in diarrhea, enteropathy, eczema, and insulin-dependent diabetes mellitus. IPEX syndrome is caused by pathogenic alterations in FOXP3 located at Xp11.23. FOXP3 encodes a transcription factor that interacts with several partners, including NFAT and NF-κB, and is necessary for the proper cellular differentiation of Tregs. Although variable, the vast majority of IPEX syndrome patients have onset of disease during infancy with severe enteropathy. Only five families with prenatal presentation of IPEX syndrome have been reported. Here, we present two additional prenatal onset cases with novel inherited frameshift pathogenic variants in FOXP3 that generate premature stop codons. Ultrasound findings in the first patient identified echogenic bowel, echogenic debris, scalp edema, and hydrops. In the second patient, ultrasound findings included polyhydramnios with echogenic debris, prominent fluid-filled loops of bowel, and echogenic bowel. These cases further broaden the phenotypic spectrum of IPEX syndrome by describing previously unappreciated prenatal ultrasound findings associated with the disease.

Indexed as

AdultCell DifferentiationDiabetes Mellitus, Type 1DiarrheaFemaleFetusForkhead Transcription FactorsFrameshift MutationGenetic Diseases, X-LinkedHumansImmune System DiseasesMaleNFATC Transcription FactorsNF-kappa BPregnancyT-Lymphocytes, RegulatoryForkhead Transcription FactorsFOXP3 protein, humanNFATC Transcription FactorsNF-kappa BFOXP3IPEXprenatalX-linked

Identifiers

PMID28317311
PMCPMC5515470
OpenAlexW2602754872

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.